Provider First Line Business Practice Location Address:
2324 BATH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93105-4330
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-682-7801
Provider Business Practice Location Address Fax Number:
805-569-5861
Provider Enumeration Date:
03/14/2007